Provider Demographics
NPI:1639651961
Name:TERRY, LINDSEY (LMSW)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:TERRY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:WHIPPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:107 PINEHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-7060
Mailing Address - Country:US
Mailing Address - Phone:801-471-7012
Mailing Address - Fax:
Practice Address - Street 1:108 PALMETTO PK. BOULVEARD
Practice Address - Street 2:SUITE D
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072
Practice Address - Country:US
Practice Address - Phone:803-996-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12703104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker